Active NPI
The Community Supports Network Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- THE COMMUNITY SUPPORTS NETWORK INC
- Practice address
- 5539 S 27TH St Ste 204
Lincoln, NE 68512-1600 - Phone
- (402) 435-2811
- NPI assigned
- Dec 3, 2010
- Last updated
- May 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Kanter
- Title
- Ceo
- Phone
- (402) 435-2134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IA | Primary |
Addresses
Primary practice location
5539 S 27TH St Ste 204
Lincoln, NE 68512-1600
Mailing address
300 W Broadway
Suite 111
Council Bluffs, IA 51503-9019
Phone (712) 242-0533
Other practice location 1
5701 Thompson Creek Blvd
Suite 200
Lincoln, NE 68516-5662
Phone (402) 435-2134
Other names 1
- Developmental Services of Iowa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2037077 | Community Supports Network, Inc, the | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
5539 S 27th St
Ste 204
Lincoln, NE 68512
Phone (402) 423-3696
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1689044802
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1487098422
-
- Behavior Technician
- Omaha, NE
- NPI 1528414059
-
- Community/Behavioral Health Agency
- Lincoln, NE
- NPI 1538785126
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1093437220
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1750304150
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1679305296
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1447162193
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1134421696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W BROADWAY",
"address_2": "SUITE 111",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039019",
"telephone_number": "712-242-0533",
"fax_number": "712-242-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 S 27TH ST STE 204",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121600",
"telephone_number": "402-435-2811"
}
],
"practiceLocations": [
{
"address_1": "5701 Thompson Creek Blvd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685165662",
"country_code": "US",
"telephone_number": "402-435-2134",
"fax_number": "402-435-8801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE COMMUNITY SUPPORTS NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-03",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "KANTER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-435-2134",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Developmental Services of Iowa",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.